[Balloon valvuloplasty of the aortic valve: short-term and medium-term results in 50 patients].
Fifty patients with severe symptomatic aortic stenosis underwent a balloon valvuloplasty of the aortic valve with acceptable initial haemodynamic results. Follow-up at one month showed clinical improvement in 66% of the patients. Long-term follow-up (clinical, Doppler echocardiography and repeat cardiac catheterization) was disappointing. The intervention-free rates at one and two years were 44% and 26%, respectively. Aortic balloon valvuloplasty should be limited to patients with a severe aortic stenosis and short life expectancy because of non-cardiac disease and to patients with severely depressed left ventricular function as a bridge to valve replacement.
Hoedemaker
G
G
Academisch Medisch Centrum, afd. Cardiologie, Amsterdam.
van den Brink
R B
RB
Verheul
J A
JA
Visser
C A
CA
Dunning
A J
AJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000601:surgery / Q000628:therapy*; D002318:Cardiovascular Diseases / Q000209:etiology; D002404:Catheterization / Q000009:adverse effects; D004452:Echocardiography; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D012008:Recurrence
Ballonvalvuloplastiek van de aortaklep: resultaten op korte en middellange termijn bij 50 patiënten.